Baker cyst: ruptured

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Knee trauma 4 months ago since that the patient complained of knee pain, swelling and limitation of movement

Patient Data

Age: 45 years
Gender: Male
mri

Baker cyst is noted at the semimembranosus/medial gastrocnemius bursa with leakage of fluid into the popliteal fossa, dissecting proximally surrounding the hamstrings and medial gastrocnemius. The proximal end of the Baker cyst is irregular suggesting point of rupture.

Case Discussion

Cyst rupture occurs secondary to trauma followed by pain and swelling of the knee. US and MRI are the method of choice to detect popliteal cyst rupture and to rule out other mimics e.g. DVT and rupture plantaris.

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